Individual provider · NPI-1

Daniel Clouse, ATC

Specialist/Technologist, Athletic Trainer · Oklahoma City, OK

NPI number1427436575
StatusActive
Last updated in NPPESMay 8, 2015

Details

NPI
1427436575
Entity type
Individual (NPI-1)
Name
Daniel Clouse
Credential
ATC
Sex
Male
Sole proprietor
No
Enumeration date
May 8, 2015
Last updated
May 8, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

9801 N Kelley Ave
Oklahoma City, OK 73131-2433

Phone 405-419-2253

Mailing address

9801 N Kelley Ave
Oklahoma City, OK 73131-2433

Phone 405-419-2253

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